Displaying 134241-134250 of 1611142 results.
ID:
134241
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1149373
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
134242
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1149376
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
134243
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1812015
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
134244
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
862006
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134245
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
862013
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134246
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
862019
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134247
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
862025
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134248
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
201388
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134249
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1665102
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134250
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1737578
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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